Barriers to healthcare access in a non-elderly urban poor American population.

An understanding of perceived barriers to health-care is critical to improving healthcare access for all Americans. To determine perceived barriers to health-care in an urban poor population in Dayton, Ohio, a face-to-face door-to-door survey of individuals identified through targeted, stratified, a...

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Publicado en:Health & Social Care in the Community Vol. 9; no. 6; pp. 445 - 454
Autores principales: Ahmed SM, Lemkau JP, Nealeigh N, Mann B
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Nov2001
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Barriers to healthcare access in a non-elderly urban poor American population.
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        au:
          Ahmed SM
          Lemkau JP
          Nealeigh N
          Mann B
        affil: Center for Healthy Communities, Department of Family and Community Medicine, 8701 Watertown Plank Road, PO Box 26509, Milwaukee, WI 15326-0506
      sug:
        subj:
          Health Services Accessibility Trends
          Health Services for the Indigent Trends
          United States
          Medically Underserved
          Medically Uninsured
          Focus Groups
          Survey Research
          Probability Sample
          Interviews
          Data Analysis, Statistical
          Data Analysis Software
          Descriptive Statistics
          Logistic Regression
          Female
          Male
          Adolescence
          Adult
          Middle Age
          Odds Ratio
          P-Value
          Funding Source
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: An understanding of perceived barriers to health-care is critical to improving healthcare access for all Americans. To determine perceived barriers to health-care in an urban poor population in Dayton, Ohio, a face-to-face door-to-door survey of individuals identified through targeted, stratified, area probability sampling was done. A sample of 413 non-elderly poor adults, including 19% without telephones, reported personal relevance of various barriers to healthcare access. Most frequently endorsed barriers were lack of information about free or reduced-cost health-care, anticipated cost, and difficulty accessing child-care. Seventy-four per cent of respondents reported more than one barrier. Individuals without telephones and those without health insurance reported more barriers to health-care. Reported barriers were similar for working and non-working poor, except for transportation problems, more frequently reported by non-working respondents. This study provides important data on what poor people in a medically underserved community perceive to be barriers to accessing health-care and underscores the importance of including people without telephones in the study design. Respondents who did not have telephones were more likely to report multiple barriers, particularly problems with lack of information about free or discounted medical care, child-care, and transportation. These findings suggest the importance of door-to-door surveys rather than telephone surveys for getting accurate data on the poor.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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